8
Care During Pregnancy
4.0. Nutrition Therapy and Weight Gain Targets for Women
With Overt or Gestational Diabetes
Nutrition Therapy
Î 4.1. ES recommends MNT for all pregnant women with overt or
gestational diabetes to help achieve and maintain desired glycemic
control while providing essential nutrient requirements. (1|⊕⊕
)
Weight Management
Î 4.2a. ES suggests women with overt or gestational diabetes follow the
IOM revised guidelines for weight gain during pregnancy (Table 4). (U)
Î 4.2b. ES suggests obese women with overt or gestational diabetes
reduce their calorie intake by approximately one-third (compared with
their usual intake before pregnancy) while maintaining a minimum
intake of 1600-1800 kcal/d. (2|⊕⊕
)
Carbohydrate Intake
Î 4.3. ES suggests women with overt or gestational diabetes limit
carbohydrate intake to 35%-45% of total calories, distributed in 3
small- to moderate-sized meals and 2-4 snacks including an evening
snack. (2|⊕⊕
)
